Individual
LEOLA M. WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3565 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-1459
(414) 444-8445
(414) 444-8432
Mailing address
3565 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-1459
(414) 444-8445
(414) 444-8432
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10883-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39175700
—
WI
Enumeration date
06/09/2008
Last updated
08/21/2012
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